Az West Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AZ WEST ENDOSCOPY CENTER LLC

Practice address

1850 N 95TH Ave
Suite 190
Phoenix, AZ 85037-4317

Phone

(623) 594-4060

Fax

(623) 594-8736

NPI assigned

Sep 23, 2010

Last updated

Feb 4, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen P Sablyak

Title

Treasurer

Phone

(215) 589-9001

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Az West Endoscopy Center LLCCCN 03C0001335

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Arizona Centers for Digestive Health LLC

  • Gastroenterology Physician
  • Gilbert, AZ
  • NPI 1568975316

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Lam, DO

  • Gastroenterology Physician
  • Goodyear, AZ
  • NPI 1326095613
  NPD (past)
• Kandarp R Patel, DO

  • Gastroenterology Physician
  • Phoenix, AZ
  • NPI 1801086087
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1790093813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 N 95TH AVE",
            "address_2": "SUITE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374317",
            "telephone_number": "623-594-4060",
            "fax_number": "623-594-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N 95TH AVE",
            "address_2": "SUITE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374317",
            "telephone_number": "623-594-4060",
            "fax_number": "623-594-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ WEST ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "SABLYAK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "215-589-9001"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677816",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Az Therapy Quest LLC
• Az United Transportation LLC
• Az Vascular Center #1 LLC
• Az Villa Behavioral Home.LLC
• Az Wellness Clinica Familiar LLC
• Az-Tech Radiology & Open MRI
• Az.S. Medical Transportation LLC
• Arash Azamiyan
• Bardia Azar, MD
• Jehad H Q Azar, MD

• Ambulatory Surgical Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.